FeeBase
Log inGet started
Menu

CPT code 22860: Lumbar disc replacement, additional interspace2026 Medicare rate & RVUs

Reports total disc replacement at an additional lumbar interspace during the same operation as the primary lumbar disc arthroplasty.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $344.36 for 22860 nationally in a facility.

Medicare rate · 22860

Lumbar disc replacement, additional interspace

Office or facility?

Work RVUs
6.71
Total RVUs
10.31
Global days
ZZZ

National rate · 2026

$344.36

Facility setting, before claim adjustments.

See every locality for 22860 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 22860 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 22860 covers

Code 22860 represents artificial disc replacement at a second lumbar interspace during the same operation. A spine surgeon removes the diseased disc, prepares the vertebral endplates, and places a motion-preserving prosthesis at this additional level. The procedure is generally performed through an anterior approach in a hospital or ambulatory surgical setting for selected patients with lumbar disc disease.

Report 22860 only as an add-on to 22857 when the surgeon replaces a second lumbar interspace in the same operative session. The operative report should identify both treated levels and support disc removal, endplate preparation, and prosthesis placement at the additional level. CMS treats this add-on as paid within the primary procedure’s global period; it is not a standalone service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 22860 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

22860 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$311.99
AlaskaUnavailable$435.40
ArizonaUnavailable$334.29
ArkansasUnavailable$308.11
Atlanta, GAUnavailable$357.34
Austin, TXUnavailable$342.13
Bakersfield, CAUnavailable$332.84
Baltimore area, MDUnavailable$365.93
Beaumont, TXUnavailable$334.61
Brazoria, TXUnavailable$333.23

22860 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
22860 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 22860 rate is calculated

Each of 22860’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 22860

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.71

6.71 RVUs× 1.000 GPCI

Practice expense1.92

1.92 RVUs× 1.000 GPCI

Malpractice1.68

1.68 RVUs× 1.000 GPCI

Adjusted RVUs

10.3100

Conversion factor

$33.4009

Medicare rate

$344.36

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 22860

The CMS indicators that decide how 22860 is paid alongside other services.

CMS payment indicators · 22860

Lumbar disc replacement, additional interspace

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

22860 without 80 · national facility

$344.36

Lumbar disc replacement, additional interspace

22860-80 · Assistant: 16%

$55.10

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

22860 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 22860

    Lumbar disc replacement, additional interspace6.71 wRVU

    Not priced

  • 22857

    Lumbar disc replacement, single interspace26.45 wRVU

    Not priced

  • 22858

    Cervical disc replacement, second interspace8.19 wRVU

    Not priced

  • 22853

    Interbody device, with interbody arthrodesis4.14 wRVU

    Not priced

How to choose

22857Lumbar disc replacementSingle interspace
22857 reports the primary lumbar interspace replacement. Add 22860 only when a second lumbar interspace is replaced during the same operation.
22858Cervical disc replacementSecond interspace
22858 is the additional-level arthroplasty code for the cervical spine; 22860 is for an additional lumbar interspace.
22853Interbody deviceWith interbody arthrodesis
22853 concerns placement of an interbody device in fusion surgery. Code 22860 represents an additional level of artificial disc replacement.

Codes related to 22860

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 22860
CodeHow it relatesNational office range
Add-on codes
22857Lumbar disc replacement, single interspacePrimary lumbar disc arthroplasty code reported with 22860.No office rate
Used instead
22856Artificial disc, single cervical interspaceSingle-interspace cervical disc arthroplasty rather than lumbar replacement.No office rate
22853Interbody device, with interbody arthrodesisBiomechanical interbody device placement associated with fusion, not artificial disc replacement.No office rate
Same family
22858Cervical disc replacement, second interspaceAdditional-level disc arthroplasty code for the cervical spine.No office rate

22860 billing questions

When should 22860 be reported instead of 22857?

Use 22857 for the primary lumbar interspace and 22860 for a second lumbar interspace replaced during the same operation. A single-level replacement is reported with 22857 alone.

Can 22860 be billed without 22857?

No. It is an add-on code and must be reported with the primary lumbar disc replacement code, 22857.

What documentation supports the additional-level code?

The operative report should identify the second lumbar interspace and document disc removal, endplate preparation, and placement of the artificial disc at that level.

Is 22860 for a second cervical level?

No. It applies to an additional lumbar interspace. Code 22858 is the corresponding additional-level code for cervical disc arthroplasty.

How does the CMS global-period rule affect 22860?

CMS pays this add-on within the primary procedure’s global period. It is not reported as a separate standalone procedure.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 22860PPRRVU2026_Oct_nonQPP.csv, line 2,131 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 22860 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 22860 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist